Print On this page Before You StartPlease ensure that you have all the documents and information ready with you because you would not be able to save your progress if you do not complete your online application form.Please refer the Guide on more information about how to apply.Your DetailsFirst name * Middle name Surname * Date of birth * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 Do you have any special needs? Postal address Suburb Postcode Phone Email * Please complete if your name was different at the time of the forced adoptionFirst name Middle name Surname Please attach one of the following Marriage certificate Deed poll Statutory declaration Other Please attach a copy of any 2 identity documents including any documents showing change of name. Please refer the Guide for more information. * Were you ordinarily a resident of Tasmania at the time of giving birth? * Yes No Are you Aboriginal and/or Torres Strait Islander? Aboriginal Torres Strait Islander Neither Prefer not to say Your nominated support personFirst name Middle name Surname Relationship to you Postal address Suburb Postcode Phone Email Information about the forced adoptionWe understand this may bring up difficult memories, and that you may not recall everything. Please take your time and only share what you feel comfortable sharing. You do not need to answer every question. Any information you provide will help us process your application. Please attach any additional pages if you would like to add more information.Information about the forced adoptionPlease attach a copy of your adoption records. What agency, organisation or other parties were involved in the forced adoption? Were your adoption papers written or signed in any way without your consent or knowledge? If so, and you wish to, please tell us more. If you agreed to the adoption at the time, were you pressured, misled or treated unfairly in any way? Please tell us more, if you wish to. Is there anything else about the forced adoption that you would like to tell us? Direct Personal ResponseWould you like to discuss a Direct Personal Response? * A direct personal response may include a written or in person apology. If you select ‘yes’ and your application is successful, the Department will contact you to discuss this process further. Yes No Comments Other paymentsHave you received (or been told in writing that you will receive) a payment in recognition of your experience of forced adoption? * Yes No If ‘Yes’, where? How much did (or will) you receive? Have you applied for such payment elsewhere, such as another state or territory? * Yes No If ‘Yes’, where? Arrangement in the event of your passingDo you want the application to proceed in the unfortunate event of your passing before the outcome of this application? * No, do not continue my application if I pass away Yes, continue my application. I understand that the payment will be made to my estate and distributed in accordance with my legal will, or, if I do not have a will, in accordance with the laws of the state or territory in which I reside at the time of my death. If yes, please select if you have a legal will or not Yes, I have a legal will No, I do not have a legal will If ‘Yes’, please name a contact person, if different to the nominated support personName Phone Declaration of Mother (the Applicant)Full Name * Date * Day 31 Month Aug Year 2026 Information Collection NoticeThe personal information, including sensitive information, provided by you is collected and will be used in accordance with the requirements of the Personal Information Protection Act 2004 (the PIP Act), together with the Department of Justice’s Personal Information Protection Policy.By providing information, you agree to the Department of Justice collecting any personal, sensitive or health information you provide.The information you provide the Department will be used for the purposes of administering the Historical Forced Adoption Redress Scheme including giving you (or your nominated support person) more information, communications, or updates about the Historical Forced Adoption Redress Scheme. The information you provide will be made available to authorised staff of the Department of Justice, any other agency of the Tasmanian Government, government agency of any other state, territory, or the Commonwealth government, and any other parties only for these purposes.You can access and correct the information you provide. If you would like to access or correct the information you have provided, please email us at HFARS@justice.tas.gov.au. If you do not provide us with the information required in this application form, we may not be able to assess your eligibility for the Historical Forced Adoption Redress Scheme.We only collect personal information where it is reasonably necessary to perform our functions and, with your consent, will only use this information for the purpose for which it was provided, unless another lawful basis applies.Under Tasmania’s Right to Information Act 2009 (the RTI Act), information that would disclose the personal details of someone other than the RTI applicant is generally protected from release. Such information may only be disclosed if, after applying the public interest test, disclosure is not contrary to the public interest. If an RTI application is received for information about the Historical Forced Adoption Redress Scheme that might cover your information, you will be consulted before a decision is made, and have rights of review.Separately, under the PIP Act, individuals have the right to request access to their own personal information held by the Department of Justice, subject to limited legal exceptions.We are committed to protecting your personal information, and in line with our obligations under the PIP Act, take reasonable steps to protect it from misuse, loss, unauthorised access, modification and disclosure. For more information on the collection, use, disclosure and management of your personal information, please refer to our Personal Information Protection and Right to Information policies available on the Department of Justice website.For more information or questions about the personal information policy of the Department please contact legislation.development@justice.tas.gov.au, or by mail toRight to InformationDepartment of Justice GPO Box 825HobartTasmaniaDeclaration of Mother (the Applicant)By entering my full name below, I declare that:the information provided in this application is true and accurate, and that I have a reasonable belief that I meet the eligibility criteria to apply for this Scheme. I understand that I may be asked for further information to support my application and I must respond accurately to these requests for my application to be assessedI have read and understood the Guide and Information Collection Notice and consent to the Department collecting, using and disclosing the information provided by me for the purposes set out aboveI will inform the Department if I receive a payment, or written notice of a payment, from elsewhere for the forced adoption before an outcome on this applicationI understand that any redress or payment received by me under any other redress scheme or other mechanism for forced adoption practices will be deducted from the redress payment I receive under this application. Please only complete this section if you want to nominate a support person who the Department can speak to you on your behalf. Please refer the Guide for more information. If you have received another payment for your experience of forced adoption, that amount will be deducted from your payment under the Tasmanian scheme. Please refer the Guide for more information. Please refer the Guide for more information. Last Updated: 19 June 2026 On this page